MARVIN LEE RAY (MD) – Internal Medicine Physician, NPI 1164402103

MARVIN LEE RAY (MD) is a healthcare provider. based in Middletown, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 074010 (OH). The NPI Number for MARVIN LEE RAY (MD) is 1164402103

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
MARVIN LEE RAY (MD)
NPI
1164402103
Phone
(513) 424-2535
Address
200 N BREIEL BLVD
Enumeration Date
17 January 2006
Last Update Date
18 November 2014

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
5134242535
Graduation Year
1991 (35 years ago)
PAC ID
6800978040
Group Practice PAC ID
9537066584
Professional Enrollment ID
I20100729000641
Address ID
OH450423808MI200XXBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for MARVIN LEE RAY (MD)

  • North Breiel Boulevard, Middletown, Butler County, Ohio, 45042, United States

    MIDDLETOWN, OH 450423808

    Phone: (513) 424-2535

    Fax: (513) 424-0363

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100729000641IInternal MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes995321$0
99213Established patient office or other outpatient visit, 20-29 minutes13695$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a3917$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and3733$0
G0008Administration of influenza virus vaccine2828$0
View full utilization report →

Insurance plans in this area (ZIP 45042)

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Provider's Procedures

MARVIN LEE RAY (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOH81002Urinalysis, manual test2622
INTERNAL MEDICINEOH90670Pneumococcal vaccine for injection into muscle199199

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537066584View full group profile
NameSpecialtyState
Family PracticeOH
Family PracticeOH
Family PracticeOH
Physician AssistantOH
-OH
General SurgeryOH
Family PracticeOH
-OH
Internal Medicine, HospitalistPA
Registered Dietitian Or Nutrition ProfessionalOH

Reviews

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Frequently asked questions

What NPI should I save for MARVIN LEE RAY (MD)?
Save NPI 1164402103 if you need a stable reference for MARVIN LEE RAY (MD).
Is MARVIN LEE RAY (MD)'s NPI currently valid?
The extract we use shows MARVIN LEE RAY (MD) as active.
Does MARVIN LEE RAY (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for MARVIN LEE RAY (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for MARVIN LEE RAY (MD)?
The page summarizes Middletown, Ohio for MARVIN LEE RAY (MD); expand the address list for detail.
How can I contact MARVIN LEE RAY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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